Surgery Quiz

Q1. What is not a treatment option for Anal fissure with low pressure

a) Diltiazem

b) Flap

c) Nifedipine

d) Sphincterotomy

Q2. Which of the following affects prognosis in carcinoma esophagus most?

a) Cellular differentiation

b) T staging

c) Length of involved segment

d) Age of the patient

Q3.Metabolic changes after totall gastrectmy

More Misc questions

Answers

1. d

Patients suffering from Crohn's disease may develop two types of fissures. Standard anal fissures, generally appearing in the anterior or posterior midline, are associated with sphincter hypertonia and are very painful. Crohn's fissures occur off the midline, are broad-based, are not associated with increased sphincter pressures, and are usually painless

Surgical treatment should be considered only in patients with painful fissures who fail conservative therapy. If the fissure or ulcer is broad-based, off the midline, and associated with low anal tone, then a sphincterotomy should not be performed because it will not heal the ulcer and will lead to incontinence. Instead, a careful examination under anesthesia should be performed, anal sepsis searched for and drained appropriately, and the edges of the fissure débrided.

2. b

In carcinoma of esophagus and stomach, two main characterstics determine the prognosis of the patient, The invasion of tumor in the wall and lymph node status. Length is not so much of a concern because a total esophgectomy is bein done anyway. Cellular diffentiation does not have as much effect on prognosis as T staging